实时超声造影检查评价原发性肝细胞癌经导管肝动脉化疗栓塞术后疗效  

Real-time contrast-enhanced ultrasound in evaluation of therapy effect of transcatheter arterial chemoembolization for hepatocellular carcinoma

作　　者：钱晓芹[1] 夏泽[1] 杨光[1] 

机构地区：[1]扬州大学医学院临床医院超声科,江苏扬州225000

出　　处：《中国介入影像与治疗学》2009年第5期453-456,共4页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的评价超声造影在经导管肝动脉化疗栓塞术(TACE)后治疗效果评价中的作用。方法选择TACE术后的原发性肝细胞癌(HCC)患者21例(共30个病灶),采用SonoVue进行实时超声造影。结果①TACE术后超声造影检查对肿瘤内残存血供的检出率优于能量多普勒血流显像;②HCC患者行TACE术后的超声造影表现:栓塞完全的病灶在造影的各个时相均表现为"缺损区",检测到血流的16个病灶大致有3种形态学表现;③造影后,可明确提示肿块栓塞后无血供的实际范围、TACE术后有无门脉内癌栓形成以及肝内有无微小新灶形成。结论超声造影可作为TACE后评价疗效的常规检查手段。Objective To assess real-time contrast-enhanced ultrasound in evaluation therapy effect of transcatheter arterial chemoembolization（TACE） for hepatocellular carcinoma（HCC）.Methods A total of 21 patients with HCC（30 lesions） after TACE were enrolled.SonoVue was used to perform real-time contrast-enhanced ultrasonography.Results ①After TACE,real-time contrast-enhanced ultrasonography detected more survival blood supply inside tumors than color Doppler energy did.②After TACE,fully embolized lesions appeared as ＂defect area＂ on each phase of real-time contrast-enhanced ultrasound,and 16 lesions mainly had 3 kinds of appearances.③The performance after real-time contrast-enhanced ultrasound could hint the actual scope of non-blood area after TACE,as well as whether there were cancer embolus inside portal vein and new lesions inside the liver or not.Conclusion Real-time contrast-enhanced ultrasound can be used regularly after TACE to assess therapy effect.

关 键 词：超声检查 经皮肝动脉插管栓塞化疗术 肝肿瘤 

分 类 号：R735.7[医药卫生—肿瘤]